| NPI | 1902061195 |
|---|---|
| Former Name | RADHIKA MUTYALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 290805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125050767) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2023-06-05 |